DR. CODY CATALDO-GILLMAN (PT, DPT) – Physical Therapist, NPI 1104476969

DR. CODY CATALDO-GILLMAN (PT, DPT) is a healthcare provider. based in Wilsonville, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. The NPI Number for DR. CODY CATALDO-GILLMAN (PT, DPT) is 1104476969

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. CODY CATALDO-GILLMAN (PT, DPT)
NPI
1104476969
Phone
(503) 570-3665
Address
25117 SW PARKWAY AVE
Enumeration Date
13 September 2019
Last Update Date
13 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9712242841
Graduation Year
2019 (7 years ago)
PAC ID
2163932609
Group Practice PAC ID
2567434764
Professional Enrollment ID
I20250612001133
Address ID
OR973011933SA4254XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:6State licenses:0Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

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Provider Addresses for DR. CODY CATALDO-GILLMAN (PT, DPT)

  • Signature, 25117, Southwest Parkway Avenue, Wilsonville, Metro, Washington County, Oregon, 97070, United States

    WILSONVILLE, OR 970709697

    Phone: (503) 570-3665

    Type: Mailing

  • 350, South 8th Street, Lebanon, Lebanon County, Pennsylvania, 17042, United States

    LEBANON, OR 973552242

    Phone: (541) 259-1221

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250612001133IPhysical Therapist In Private PracticeORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97070)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567434764View full group profile
NameSpecialtyState
-CO
Qualified Speech Language PathologistWA
-CO
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeOR
-CO
Physical Therapist In Private PracticeNV
-WA
-CO

Reviews

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Frequently asked questions

What NPI should I save for DR. CODY CATALDO-GILLMAN (PT, DPT)?
Save NPI 1104476969 if you need a stable reference for DR. CODY CATALDO-GILLMAN (PT, DPT).
Is DR. CODY CATALDO-GILLMAN (PT, DPT)'s NPI currently valid?
The extract we use shows DR. CODY CATALDO-GILLMAN (PT, DPT) as active.
What field does DR. CODY CATALDO-GILLMAN (PT, DPT) work in?
You can think of DR. CODY CATALDO-GILLMAN (PT, DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. CODY CATALDO-GILLMAN (PT, DPT)?
The page summarizes Wilsonville, Oregon for DR. CODY CATALDO-GILLMAN (PT, DPT); expand the address list for detail.
How can I contact DR. CODY CATALDO-GILLMAN (PT, DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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